Other

University of Vermont and State Agricultural College

Orthopaedic Designs, LLC

Bruce D Beynnon

Stephen J Incavo

David L Churchhill

David Lawrence Churchill

Richard Earle Gildersleeve

Jeremy J Nathanson

Dylann Ceriani

Daniel S Pflaster

Kathryn M Coughlin

A femoral component is provided for use in a knee joint prosthesis. The femoral component may be configured to provide one or more desirable kinematic relationships with a tibial component and/or patella so as to mimic the flexion and extension motion of a natural knee joint. The femoral component may be configured so that the patella follows a substantially circular pathway during knee flexion and extension. The femoral component may be configured so that the patella follows a curved patellar path during flexion and extension, and the curved patellar path has an origin located anterior and proximal to the geometrical center axis of the knee. The femoral component may be configured so that the patella follows a curved patellar path that lies in a plane which is parallel to and offset from a plane that extends through the center of the femoral head of a femur and is perpendicular to the geometric center axis of the knee. The femoral component may be configured so that at least a portion of the patella substantially follows a patellar path in a plane perpendicular to the geometrical center axis of a knee throughout knee flexion.

Knee joint prosthesis with a femoral component which links the tibiofemoral axis of rotation with the patellofemoral axis of rotation

An internal osteotomy fixation apparatus is provided. The device comprises a distal plate including a channel. A slide is slidably received within the channel such that the slide is translatable with respect to the distal plate along a first axis. A proximal plate is hingedly connected to the slide, such that the proximal plate has two degrees of freedom relative to the distal plate. A ledge protruding from a first portion of the proximal plate is configured to support a proximal bone segment when the device is implanted. The slide includes ratchet teeth. A ratchet arm including teeth is attached to the distal plate, and configured to engage the slide ratchet teeth. A cross-section of the ratchet arm is configured to maintain a constant stress level along a flexed portion of the arm. The distal plate includes a shelf upon which the ratchet arm rests. Compressive loads borne by the device are translated through the shelf to the distal plate. A minimum length of the device is related to the longer of the ratchet arm or the segment of teeth on the slide. The distal plate includes a hole through which a release mechanism is accessible.

Internal osteotomy fixation device

A fully implantable, incrementally adjustable osteotomy fixation apparatus is disclosed. The apparatus comprises a first plate member, and a second plate member being telescopically received within the first plate member. The osteotomy fixation apparatus may further comprise a ratchet assembly, operatively associated with the first and second plate member, which allows for advancement of the first plate member relative to the second plate member, but prevents retraction. Attachment means operatively associated with the first and second plate members are provided for attaching the apparatus to the bone. The apparatus may also include an external extension brace, operatively associated with the ratchet, for extending the second plate member relative to the first plate member so that post-operative angular correction of the bone may be achieved. A method of performing an osteotomy to the bone is also disclosed utilizing the fixation apparatus herein disclosed.

Incrementally adjustable tibial osteotomy fixation device and method

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South Burlington, VT, United States of America

Bruce D Beynnon